Document Detail


Guidelines for Adolescent Preventive Services: the GAPS in practice.
MedLine Citation:
PMID:  12742877     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
DESIGN: Pre- and post-Guidelines for Adolescent Preventive Services (GAPS) comparison of outcomes gathered via chart audit. SETTING: A rural hospital-based general pediatric clinic. PARTICIPANTS: Adolescents who underwent annual examinations between April 1, 1998, and March 31, 2001. A random sample of 441 medical records was reviewed. INTERVENTION: Training in the GAPS model and use of the questionnaire began in April 1998. MAIN OUTCOME MEASURES: Detection of, discussion of, and referrals for GAPS-related risk behavior. RESULTS: The medical records of 162 younger adolescents (aged 11-15 years) and 279 older adolescents (aged 16-19 years) were audited. Detection of risk behaviors increased from 19% at baseline to 95% with the initial GAPS and 87% with the periodic GAPS. The most prevalent risk factor was having a rifle or gun in the home (younger adolescents, 47% and older adolescents, 39%). The mean number of risk behaviors and health concerns documented was higher in the initial GAPS (4.8 and 1.3, respectively) than in the periodic GAPS (3.8 and 0.7) (P =.01 and.006). The GAPS questionnaires detected lower levels of risk behavior compared with a local Youth Risk Behavior Survey. Controlling for sex, age, and clinician, discussion of psychosocial topics increased during the study period; however, there was considerable variation among clinicians regarding the topics addressed. The GAPS-related referral rate did not change significantly. CONCLUSION: The GAPS model increases clinicians' detection and discussion of risk behaviors.
Authors:
Anne Gadomski; Shannon Bennett; Margaret Young; Lawrence S Wissow
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  157     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-13     Completed Date:  2003-05-29     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  426-32     Citation Subset:  AIM; IM    
Affiliation:
Bassett Research Institute, Bassett Healthcare, Cooperstown, NY 13326, USA. gadomski@usa.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adolescent Behavior*
Adolescent Health Services / organization & administration,  statistics & numerical data*
Adult
Child
Humans
Medical Records
New York
Practice Guidelines as Topic
Preventive Health Services / organization & administration,  statistics & numerical data*
Questionnaires
Risk-Taking
Rural Population*
Grant Support
ID/Acronym/Agency:
MH01790/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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